Yellowhawk Tribal Health Center provides access to medical records from our health care facility to patients and their authorized representatives.
Complete this form to authorize Yellowhawk to disclose a copy of your protected health information to someone other than yourself.
Complete this form to receive a copy of your protected health information from Yellowhawk.
Complete this form to authorize Yellowhawk to receive a copy of your protected health information from an outside office or hospital.
Medical Records receives requests via fax, USPS, FedEx, UPS. If you wish to hand deliver your request, please drop it off at the Medical Reception desk during business hours.
Requests are processed within five days of receiving the request, depending on requestor type. For example, routine continuation of care requests will typically be processed within one (1) working day and urgent continuation of care requests will typically be processed within 30 minutes.
Weekdays 7:30 a.m. – 4:00 p.m.;
except Tuesdays 12:30 p.m. – 4:00 p.m.
The following link can help you learn your rights affecting Health Information Privacy: